An exploration of barriers and facilitators to older adults’ participation in higher impact physical activity and bone health: a qualitative study

Simmonds, Bethany; Hannam, Kimberly; Fox, Keith R.; Tobias, Jonathan H

doi:10.1007/s00198-015-3376-7

Cited by 29 publications

(38 citation statements)

References 31 publications

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“…Review of the references of one paper led to the discovery of additional papers on older adults' attitudes to falls prevention programmes, which were included [6][7][8] to present views specific to falls prevention activities. So in total, seventeen papers were included: five systematic reviews 5,7,9,10,11 ; three reviews 6,12,13 ; and nine primary studies for context 8,[14][15][16][17][18][19][20][21] .…”

Section: Resultsmentioning

confidence: 99%

“…The remaining primary studies [14][15][16][17][18]20,21 were all qualitative studies that set out to explore attitudes towards different types of strength and balance activities. The study participants were mainly people taking part in specific programmes of resistance exercise; falls prevention programmes; bone strength programmes or general activity programmes with a specific component targeting strength.…”

Section: Sense Of Belonging 4 Increase Social Activity 2 Observing Otmentioning

confidence: 99%

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Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Cavill¹,

Foster²

2018

JFSF

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Encouraging physical activity is a key aspect of public health, with links to significant health benefits, including reducing the risk of a range of diseases, e.g. coronary heart disease, stroke, type 2 diabetes, and helping to maintain a healthy weight 1,2. The UK Chief Medical Officers' (CMOs) guidelines for physical activity present evidence-based, age-specific recommendation for physical activity to improve public health 3. Alongside recommendations for aerobic physical activity (150 minutes per week of at least moderate intensity physical activity, or 75 minutes per week of vigorous intensity physical activity) are specific recommendations for enhancing strength and balance (Table 1): Mainstream planning and delivery on physical activity typically focusses on the general physical activity guideline, with the strength and balance aspect largely considered for specific populations and outcomes, such as programmes aimed at older adults, or programmes aiming to prevent falls. It is unclear whether this lack of focus on the strength and balance aspect of the recommendations is driven by a professional bias (e.g. if the public health community was uncertain of the importance of the recommendations or unsure how to implement them) or barriers to implementation faced by older adults themselves 4. This review therefore Abstract Objectives: This review sought to investigate the question: what are the key barriers to, and enablers for, older adults undertaking muscle strengthening and balance activities, and how can these be addressed by individuals and practitioners? Methods: A search of PubMed for review-level evidence on professional and personal barriers and motivators for strength and balance activities among older people. Results: The search and expert consultation found 46 studies; after screening, twelve papers were included. Many of the barriers and motivators to strength and balance activities are familiar ones that can also apply to physical activity more generally, such as not having the time. More specific barriers to strength and balance activities for older people were perceived risk of a heart attack, stroke, or death, and fear of looking too muscular; with motivators being improved ability to complete daily activities, preventing deterioration and disability, and decreasing the risk or fear of falling. Conclusions: This review of reviews has found a small but consistent body of literature describing the motivators and barriers to older adults taking part in strength and balance activities. This may be used as the basis for planning and delivering physical activity programmes for older adults.

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Section: Resultsmentioning

confidence: 99%

Section: Sense Of Belonging 4 Increase Social Activity 2 Observing Otmentioning

confidence: 99%

Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Cavill¹,

Foster²

2018

JFSF

View full text Add to dashboard Cite

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“…Motivation is the first step for behavior change. A study aimed at the participation of middle-aged people in high-impact physical activity showed that the perception of clear and tangible benefits acts as a motivator for adherence to the practice of physical activities (23) . Another study, conducted with patients submitted to stem cell transplantation, reported that being part of a physical activity motivation program reduced the hospitalization period, in addition to arousing a sense of commitment to physical activity, even when the participants were tired (24) .…”

Section: Educational Technology For Fatigue Management Related To Antmentioning

confidence: 99%

Educational technology for fatigue management related to antineoplastic chemotherapy

et al. 2019

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Objective: To construct and validate an educational technology (ET) on fatigue and nonpharmacological strategies for the management of this symptom in people with cancer undergoing outpatient antineoplastic chemotherapy. Method: This is a methodological study composed of three stages: 1) elaboration of the ET using the theoretical-methodological model of Doak, Doak and Root; 2) validation of content and appearance by seven nurses via the content validity index (CVI); and 3) a pilot test with 10 patients. Results: The ET "Knowing and coping with fatigue" contemplates the definition of fatigue, its causes and the interventions of physical exercise practice, sleep hygiene, energy conservation and behavioral intervention. The overall CVI obtained with the judges was 0.95. Conclusion: The ET presented content and appearance validity for health education regarding fatigue related to antineoplastic chemotherapy in outpatient cancer patients. RESUMOObjetivo: Construir e validar tecnologia educativa (TE) sobre fadiga e estratégias não farmacológicas para manejo desse sintoma em pessoas com câncer em tratamento quimioterápico antineoplásico ambulatorial. Método: Estudo metodológico composto por três etapas: 1) elaboração da TE, utilizando o modelo teórico-metodológico de Doak, Doak e Root; 2) validação de conteúdo e aparência por sete juízes enfermeiros, por meio do índice de validade de conteúdo (IVC); e 3) realização de teste piloto com 10 pacientes. Resultados: A TE "Conhecendo e lidando com a fadiga" contempla a definição de fadiga, suas causas e as intervenções de prática de exercícios físicos, higiene do sono, conservação de energia e intervenção comportamental. O IVC global obtido com os juízes foi de 0,95. Conclusão: A TE apresentou validade de conteúdo e aparência para a educação em saúde com relação à fadiga relacionada à quimioterapia antineoplásica em pacientes oncológicos ambulatoriais. Descritores: Pacotes de Assistência ao Paciente; Enfermagem Oncológica; Fadiga; Estudos de Validação; Tecnologia Educacional. RESUMENObjetivo: Construir y validar una tecnología educativa (TE) sobre fatiga y estrategias no farmacológicas para el manejo del síntoma en personas con cáncer en tratamiento quimioterápico antineoplásico ambulatorio. Método: Estudio metodológico que consta de tres etapas: 1) elaboración de la TE utilizando el modelo teórico-metodológico de Doak, Doak y Root; 2) validación de contenido y apariencia por siete jueces enfermeros, por medio del índice de validez de contenido (IVC); y 3) realización de una prueba piloto con 10 pacientes. Resultados: La TE "Conociendo y lidiando con la fatiga" contempla la definición de fatiga, sus causas y las intervenciones con la práctica de ejercicios físicos, la higiene del sueño, la conservación de energía y la intervención comportamental. El IVC total obtenido con los jueces fue de 0,95. Conclusión: La TE presentó validez de contenido y apariencia para la educación en salud con relación a la fatiga relacionada a la quimioterapia antineoplásica en pacientes oncológicos...

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“…(13) However, in older people without radiographic or symptomatic knee OA, recreational activity did not increase risk of OA development (14) and a review of studies investigating the mid-term to long-term effects of exercise of a range of modes on articular cartilage found no evidence of detrimental effects, (15) although few included high-impact exercise. (13) However, in older people without radiographic or symptomatic knee OA, recreational activity did not increase risk of OA development (14) and a review of studies investigating the mid-term to long-term effects of exercise of a range of modes on articular cartilage found no evidence of detrimental effects, (15) although few included high-impact exercise.…”

Section: Introductionmentioning

confidence: 99%

“…Although high-impact exercise is beneficial to bone strength, older people may have concerns as to the effect on their joints. (13) However, in older people without radiographic or symptomatic knee OA, recreational activity did not increase risk of OA development (14) and a review of studies investigating the mid-term to long-term effects of exercise of a range of modes on articular cartilage found no evidence of detrimental effects, (15) although few included high-impact exercise. High-impact exercise has been shown to improve femoral neck bone mineral content (BMC) with no change in quantitative MRI biomarkers or cartilage composition in postmenopausal women with mild OA, (16) but there is little research using quantitative MRI in those without a diagnosis of OA.…”

Section: Introductionmentioning

confidence: 99%

High-Impact Exercise Increased Femoral Neck Bone Density With No Adverse Effects on Imaging Markers of Knee Osteoarthritis in Postmenopausal Women

Hartley

Folland

Kerslake

et al. 2019

Journal of Bone and Mineral Research

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High‐impact exercise can improve femoral neck bone mass but findings in postmenopausal women have been inconsistent and there may be concern at the effects of high‐impact exercise on joint health. We investigated the effects of a high‐impact exercise intervention on bone mineral density (BMD), bone mineral content (BMC), and section modulus (Z) as well as imaging biomarkers of osteoarthritis (OA) in healthy postmenopausal women. Forty‐two women aged 55 to 70 years who were at least 12 months postmenopausal were recruited. The 6‐month intervention consisted of progressive, unilateral, high‐impact exercise incorporating multidirectional hops on one randomly assigned exercise leg (EL) for comparison with the contralateral control leg (CL). Dual‐energy X‐ray absorptiometry (DXA) was used to measure BMD, BMC, and Z of the femoral neck. Magnetic resonance imaging (MRI) of the knee joint was used to analyze the biochemical composition of articular cartilage using T2 relaxometry and to analyze joint pathology associated with OA using semiquantitative analysis. Thirty‐five participants (61.7 ± 4.3 years) completed the intervention with a mean adherence of 76.8% ± 22.5%. Femoral neck BMD, BMC, and Z all increased in the EL (+0.81%, +0.69%, and +3.18%, respectively) compared to decreases in the CL (−0.57%, −0.71%, and −0.75%: all interaction effects p < 0.05). There was a significant increase in mean T2 relaxation times (main effect of time p = 0.011) but this did not differ between the EL and CL, indicating no global effect. Semiquantitative analysis showed high prevalence of bone marrow lesions (BML) and cartilage defects, especially in the patellofemoral joint (PFJ), with no indication that the intervention caused pathology progression. In conclusion, a high‐impact exercise intervention that requires little time, cost, or specialist equipment improved femoral neck BMD with no negative effects on knee OA imaging biomarkers. Unilateral high‐impact exercise is a feasible intervention to reduce hip fracture risk in healthy postmenopausal women. © 2019 American Society for Bone and Mineral Research.

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An exploration of barriers and facilitators to older adults’ participation in higher impact physical activity and bone health: a qualitative study

Cited by 29 publications

References 31 publications

Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Educational technology for fatigue management related to antineoplastic chemotherapy

High-Impact Exercise Increased Femoral Neck Bone Density With No Adverse Effects on Imaging Markers of Knee Osteoarthritis in Postmenopausal Women

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